This log is also available as text (213ac.txt) and as a (binary) annotation file (213ac.log).
Generated: Thursday, 23-Apr-2009 00:35:14 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 11/01/2019] el: 0 cg: LCP cu: LCP at MIT n1: 12
pi: 4333068 hi: 8834 t0: [21:00:00 11/01/2019] tf: [11:00:00 16/01/2019] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4333069 hi: 8834 t0: [21:00:00 11/01/2019] tf: [11:00:00 16/01/2019] mn: Prochlorperazine pt: Unit Dose st: Discontinued rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4333070 hi: 8834 t0: [21:00:00 11/01/2019] tf: [11:00:00 16/01/2019] mn: Prochlorperazine pt: Unit Dose st: Discontinued rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4333292 hi: 8834 t0: [22:00:00 11/01/2019] tf: [21:00:00 12/01/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 10 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4333293 hi: 8834 t0: [22:00:00 11/01/2019] tf: [21:00:00 12/01/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 10 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4333314 hi: 8834 t0: [22:00:00 11/01/2019] tf: [06:00:00 12/01/2019] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 75 ml/hr for 1000 ml ir: 75 it: C ss: N dt: 13 di: Hours xu: Enter on Label pi: 4333322 hi: 8834 t0: [10:00:00 11/01/2019] tf: [11:00:00 16/01/2019] mn: Levothyroxine Sodium pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4333323 hi: 8834 t0: [10:00:00 11/01/2019] tf: [11:00:00 16/01/2019] mn: Levothyroxine Sodium pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4333324 hi: 8834 t0: [20:00:00 11/01/2019] tf: [11:00:00 16/01/2019] mn: Docusate Sodium pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4333325 hi: 8834 t0: [22:00:00 11/01/2019] tf: [11:00:00 16/01/2019] mn: Senna pt: Unit Dose st: Discontinued rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 4333338 hi: 8834 t0: [22:00:00 11/01/2019] tf: [21:00:00 12/01/2019] mn: Phytonadione pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Diet Type t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Absent st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Oral Cavity t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: RLL Lung Sounds t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Temp. Site t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 35.2778 n1: 35.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 95.5 n1: 95.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [21:00:00 11/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 11/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: Urine Out Foley t0: [21:00:00 11/01/2019] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: WBC (4-11,000) t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 12.2 n1: 12.2 rs: Final st: NotStopd id: WBC t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 12.2 n1: 12.2 rs: Final st: NotStopd id: Hematocrit t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 34.9 n1: 34.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 12.1 n1: 12.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 203 n1: 203 rs: Final st: NotStopd id: RBC t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.72 n1: 3.72 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 12.2 n1: 12.2 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Rate t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 11/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: Urine Out Foley t0: [22:00:00 11/01/2019] el: 1 cg: RN cu: CCU vo: 0 vu: ml
id: Pain Present t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Daily Wake Up t0: [21:00:00 11/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: O2 Delivery Device t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [21:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: PT t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 47.3 n1: 47.3 rs: Final st: NotStopd id: PTT t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 37.6 n1: 37.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 47.3 n1: 47.3 rs: Final st: NotStopd id: PTT(22-35) t0: [21:05:00 11/01/2019] el: 0 cg: 1663 cu: CCU v1: 37.6 n1: 37.6 rs: Final st: NotStopd
pi: 4333618 hi: 8834 t0: [00:00:00 12/01/2019] tf: [11:00:00 16/01/2019] mn: Pantoprazole pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q24H ds: 0 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 11/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: Fresh Frozen Plasma t0: [23:00:00 11/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 306 vu: ml uu: Units id: Urine Out Foley t0: [23:00:00 11/01/2019] el: 1 cg: RN cu: CCU vo: 0 vu: ml
id: IV Infusion In Total t0: [23:00:00 11/01/2019] el: 2 cg: RN cu: CCU pv: 250 cv: 850 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/01/2019] el: 2 cg: RN cu: CCU pv: 556 cv: 1156 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/01/2019] el: 2 cg: RN cu: CCU pv: 0 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/01/2019] el: 2 cg: RN cu: CCU pv: 0 cv: 150 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/01/2019] el: 2 cg: RN cu: CCU pv: 556 cv: 1006 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/01/2019] el: 2 cg: RN cu: CCU pv: 556 cv: 1006 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/01/2019] el: 2 cg: RN cu: CCU pv: 556 cv: 556 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/01/2019] el: 2 cg: RN cu: CCU pv: 0 cv: 150 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 11/01/2019] el: 2 cg: RN cu: CCU pv: 306 cv: 306 ac: 24 ap: none re: 0
id: Pulses Paradoxus t0: [22:00:00 11/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd
id: Fresh Frozen Plasma t0: [23:30:00 11/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 308 vu: ml uu: Units
id: Pain Present t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 12/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Assistance Device t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Supervised st: NotStopd id: Precautions t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: Fresh Frozen Plasma t0: [00:30:00 12/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 286 vu: ml uu: Units id: Urine Out Foley t0: [00:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 27 vu: ml
id: PT t0: [00:50:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 21.7 n1: 21.7 rs: Final st: NotStopd id: INR t0: [00:50:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: PTT t0: [00:50:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 37.2 n1: 37.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [00:50:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [00:50:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 21.7 n1: 21.7 rs: Final st: NotStopd id: PTT(22-35) t0: [00:50:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 37.2 n1: 37.2 rs: Final st: NotStopd
id: Service Type t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [00:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma t0: [00:00:00 12/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 0 vu: ml uu: Units
id: .9% Normal Saline 1000.0ml t0: [02:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 150 vu: ml id: Fresh Frozen Plasma t0: [02:00:00 12/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 311 vu: ml uu: Units id: Urine Out Foley t0: [01:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [02:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 10 vu: ml
id: Pain Present t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 12/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Precautions t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Side Rails t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: SpO2 t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Support Systems t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Turns by self st: NotStopd id: Urine Source t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [03:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Behavior t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Bowel Sounds t0: [04:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [05:00:00 12/01/2019] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [03:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [04:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [05:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 0 vu: ml
id: WBC (4-11,000) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: WBC t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: Hematocrit t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 34.1 n1: 34.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 12 n1: 12 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 164 n1: 164 rs: Final st: NotStopd id: RBC t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 12.3 n1: 12.3 rs: Final st: NotStopd
pi: 4334205 hi: 8834 t0: [07:00:00 12/01/2019] tf: [09:00:00 13/01/2019] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 80 ml/hr ir: 80 it: C ss: N di: Ongoing xu: Enter on Label
id: Service Type t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [06:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 0 vu: ml
id: Total Hourly Output t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU pv: 30 cv: 547 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU pv: 45 cv: 771 ac: 24 ap: none re: 0
id: BUN t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Glucose t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 241 n1: 241 rs: Final st: NotStopd id: Magnesium t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 5.8 n1: 5.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 241 n1: 241 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 5.8 n1: 5.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: PT t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 26.2 n1: 26.2 rs: Final st: NotStopd id: INR t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: PTT t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 35.9 n1: 35.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 26.2 n1: 26.2 rs: Final st: NotStopd id: PTT(22-35) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 35.9 n1: 35.9 rs: Final st: NotStopd
id: BSA t0: [06:42:00 12/01/2019] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [06:42:00 12/01/2019] el: 1032 cg: -1 cu: CCU id: Allergy 1 t0: [06:42:00 12/01/2019] el: 1020 cg: -1 cu: CCU v1: Sulfa (Sulfonamides) id: Diagnosis/op t0: [06:42:00 12/01/2019] el: 1023 cg: -1 cu: CCU v1: CORONARY ARTERY DISEASE id: Service t0: [06:42:00 12/01/2019] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [06:42:00 12/01/2019] el: 1034 cg: -1 cu: CCU id: Readmission t0: [06:42:00 12/01/2019] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [06:42:00 12/01/2019] el: 1006 cg: -1 cu: CCU v1: D id: Religion t0: [06:42:00 12/01/2019] el: 1000 cg: -1 cu: CCU v1: NSP id: Allergy 2 t0: [06:42:00 12/01/2019] el: 1021 cg: -1 cu: CCU id: Ext t0: [06:42:00 12/01/2019] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [06:42:00 12/01/2019] el: 1022 cg: -1 cu: CCU
pi: 4334285 hi: 8834 t0: [08:00:00 12/01/2019] tf: [07:00:00 13/01/2019] mn: Midazolam HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: .9% Normal Saline 1000.0ml t0: [07:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Fresh Frozen Plasma t0: [07:00:00 12/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 267 vu: ml uu: Units id: Fresh Frozen Plasma t0: [08:00:00 12/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 264 vu: ml uu: Units
id: GI Prophylaxis t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Procedures st: NotStopd id: Eye Opening t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: Level of Conscious t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Support Systems t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Urine Source t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Behavior t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Bowel Sounds t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: IV #1 Insert Date t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [08:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Fresh Frozen Plasma t0: [08:30:00 12/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 269 vu: ml uu: Units id: Fresh Frozen Plasma t0: [09:00:00 12/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 311 vu: ml uu: Units
pi: 4334871 hi: 8834 t0: [12:00:00 12/01/2019] tf: [11:00:00 16/01/2019] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Precautions t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [11:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Level t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 12/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Learner t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Topic #1 t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Pain Cause t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Incisional st: NotStopd id: Pain Level (Rest) t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Location t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Mediastinal st: NotStopd id: Pain Management t0: [12:00:00 12/01/2019] el: 1 cg: RN cu: CCU v1: Repositioned st: NotStopd id: Pain Type t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Position t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Cardiac Cath st: NotStopd id: RLL Lung Sounds t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: INV#1 Cap Change t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Insulin Guideline t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd id: Bowel Sounds t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [12:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Cholesterol t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 u1: mg/dl rs: Final st: NotStopd id: Triglyceride t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 77 n1: 77 rs: Final st: NotStopd id: Cholesterol (<200) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 u1: mg/dl rs: Final st: NotStopd id: Triglyceride (0-200) t0: [05:16:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 77 n1: 77 rs: Final st: NotStopd
id: Service Type t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 103 n2: 103 u2: mmHg st: NotStopd id: NBP t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: NBP Mean t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: Arterial BP t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: Arterial BP t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Precautions t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:45:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dorsal PedPulse R/L t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Absent st: NotStopd id: Dorsal PedPulse R/L t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Absent st: NotStopd id: Dorsal PedPulse R/L t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Absent st: NotStopd id: PostTib. Pulses R/L t0: [12:15:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [12:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd
id: PT t0: [11:46:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 23.2 n1: 23.2 rs: Final st: NotStopd id: INR t0: [11:46:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: PTT t0: [11:46:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 39.2 n1: 39.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [11:46:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [11:46:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 23.2 n1: 23.2 rs: Final st: NotStopd id: PTT(22-35) t0: [11:46:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 39.2 n1: 39.2 rs: Final st: NotStopd
pi: 4335124 hi: 8834 t0: [10:00:00 12/01/2019] tf: [09:00:00 13/01/2019] mn: Phytonadione pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: WBC (4-11,000) t0: [13:00:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 rs: Final st: NotStopd id: WBC t0: [13:00:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 rs: Final st: NotStopd id: Hematocrit t0: [13:00:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 29.4 n1: 29.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [13:00:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [13:00:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: RBC t0: [13:00:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.15 n1: 3.15 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [13:00:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [13:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [13:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Service Type t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Fresh Frozen Plasma t0: [14:00:00 12/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 262 vu: ml uu: Units
id: Po Intake t0: [12:00:00 12/01/2019] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml
id: PO/Gastric In Total t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [14:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Blood Products t0: [16:02:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 12/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Absent st: NotStopd id: Ectopy Frequency t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Blood Transfusio st: NotStopd id: Education Topic #2 t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Invasive Lines st: NotStopd id: Eye Opening t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Pain Cause t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Temp. Site t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Insulin Guideline t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd id: Bowel Sounds t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Packed RBC's t0: [16:00:00 12/01/2019] el: 1 ai: 117 cg: RN cu: CCU vo: 200 vu: ml uu: Units id: Urine Out Foley t0: [16:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: HOB t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Right Femoral st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#1 Cap Change t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: Therapeutic Bed t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: Drain Out #1 Pericardial t0: [12:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Drain Out #1 Pericardial t0: [13:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 28 vu: ml id: Drain Out #1 Pericardial t0: [14:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Drain Out #1 Pericardial t0: [15:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 19 vu: ml id: Drain Out #1 Pericardial t0: [16:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 28 vu: ml
id: Service Type t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Drain Out #1 Pericardial t0: [17:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 19 vu: ml
id: PT t0: [16:55:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 22.2 n1: 22.2 rs: Final st: NotStopd id: INR t0: [16:55:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: PTT t0: [16:55:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 35.6 n1: 35.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [16:55:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [16:55:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 22.2 n1: 22.2 rs: Final st: NotStopd id: PTT(22-35) t0: [16:55:00 12/01/2019] el: 0 cg: 1663 cu: CCU v1: 35.6 n1: 35.6 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Packed RBC's t0: [17:00:00 12/01/2019] el: 1 ai: 117 cg: RN cu: CCU vo: 220 vu: ml uu: Units id: Urine Out Foley t0: [18:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: Drain Out #1 Pericardial t0: [18:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 8 vu: ml
id: Pain Present t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 12/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Blood Transfusio st: NotStopd id: Eye Opening t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Position t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: INV#1 Cap Change t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Insulin Guideline t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd id: Bowel Sounds t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [20:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Drain Out #1 Pericardial t0: [20:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 18 vu: ml
id: Service Type t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Drain Out #1 Pericardial t0: [21:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 14 vu: ml
id: Service Type t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Orientation t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Position t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Supervised st: NotStopd id: Precautions t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [22:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma t0: [22:00:00 12/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 277 vu: ml uu: Units id: Fresh Frozen Plasma t0: [22:30:00 12/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 284 vu: ml uu: Units id: Urine Out Foley t0: [22:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 65 vu: ml
id: Blood Products Total t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU pv: 284 cv: 3259 ac: 24 ap: none re: 0
id: Pulses Paradoxus t0: [22:30:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 12/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 160 vu: ml id: Urine Out Foley t0: [23:00:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Drain Out #1 Pericardial t0: [22:30:00 12/01/2019] el: 1 cg: RN cu: CCU vo: 15 vu: ml
id: IV Infusion In Total t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU pv: 160 cv: 2130 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU pv: 444 cv: 5509 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU pv: 399 cv: 4738 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU pv: 399 cv: 5744 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU pv: 399 cv: 399 ac: 1 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 12/01/2019] el: 2 cg: RN cu: CCU pv: 15 cv: 224 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Blood Transfusio st: NotStopd id: Eye Opening t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Level of Conscious t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 171 n1: 171 u1: mmHg v2: 109 n2: 109 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: SpO2 t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [23:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Fresh Frozen Plasma t0: [00:00:00 13/01/2019] el: 1 ai: 168 cg: RN cu: CCU vo: 290 vu: ml uu: Units id: Urine Out Foley t0: [00:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Blood Products Total t0: [23:00:00 13/01/2019] el: 2 cg: RN cu: CCU cv: 290 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12.7 n1: 12.7 rs: Manual st: NotStopd id: BUN t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 54 n1: 54 rs: Manual st: NotStopd id: PT t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 20.2 n1: 20.2 rs: Manual st: NotStopd id: Calcium t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Manual st: NotStopd id: Chloride t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 rs: Manual st: NotStopd id: Creatinine t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1.9 n1: 1.9 rs: Manual st: NotStopd id: Glucose t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 126 n1: 126 rs: Manual st: NotStopd id: INR t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1.9 n1: 1.9 rs: Manual st: NotStopd id: Magnesium t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2.2 n1: 2.2 rs: Manual st: NotStopd id: PTT t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 34.2 n1: 34.2 rs: Manual st: NotStopd id: Phosphorous t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 3.7 n1: 3.7 u1: mEq/L rs: Manual st: NotStopd id: Potassium t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 3.9 n1: 3.9 rs: Manual st: NotStopd id: Sodium t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 143 n1: 143 rs: Manual st: NotStopd id: WBC t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12.7 n1: 12.7 rs: Manual st: NotStopd id: BUN (6-20) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 54 n1: 54 rs: Manual st: NotStopd id: Calcium (8.4-10.2) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Manual st: NotStopd id: Carbon Dioxide t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 23 n1: 23 rs: Manual st: NotStopd id: Chloride (100-112) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 rs: Manual st: NotStopd id: Creatinine (0-1.3) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1.9 n1: 1.9 rs: Manual st: NotStopd id: Glucose (70-105) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 126 n1: 126 rs: Manual st: NotStopd id: Hemoglobin t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 33.5 n1: 33.5 u1: gm/dl rs: Manual st: NotStopd id: INR (2-4 ref. range) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 1.9 n1: 1.9 rs: Manual st: NotStopd id: Magnesium (1.6-2.6) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 2.2 n1: 2.2 rs: Manual st: NotStopd id: PT(11-13.5) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 20.2 n1: 20.2 rs: Manual st: NotStopd id: PTT(22-35) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 34.2 n1: 34.2 rs: Manual st: NotStopd id: Phosphorous(2.7-4.5) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 3.7 n1: 3.7 u1: mEq/L rs: Manual st: NotStopd id: Platelets t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 146 n1: 146 rs: Manual st: NotStopd id: Potassium (3.5-5.3) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 3.9 n1: 3.9 rs: Manual st: NotStopd id: RBC t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 3.56 n1: 3.56 u1: /mic l rs: Manual st: NotStopd id: Sodium (135-148) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 143 n1: 143 rs: Manual st: NotStopd id: WBC (4-11,000) t0: [21:00:00 12/01/2019] el: 0 cg: RN cu: CCU v1: 12.7 n1: 12.7 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 13/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd
id: INV Line#1 D/C Date t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Type/Site t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Zero/Cal t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 D/C Date t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 WaveformAppear t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Dsg Change t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Dsg Change t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Cap Change t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Tubing Change t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Cap Change t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Tubing Change t0: [01:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Precautions t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 13/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [01:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Drain Out #1 Pericardial t0: [01:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 23 vu: ml
id: INV Line#1 D/C Date t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV Line#2 D/C Date t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Venous Access v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: IV #1 Insert Date t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#1 Cap Change t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 16 n2: 16 st: NotStopd
pi: 4336414 hi: 8834 t0: [03:00:00 13/01/2019] tf: [11:00:00 16/01/2019] mn: Sodium Chloride Nasal pt: Unit Dose st: Discontinued rt: NU fr: QID:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Heart Rate t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: O2 Delivery Device t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Arterial BP t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [02:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 13/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [02:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [03:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Drain Out #1 Pericardial t0: [02:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 14 vu: ml id: Drain Out #1 Pericardial t0: [03:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 22 vu: ml
id: Pain Present t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 13/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Blood Transfusio st: NotStopd id: HOB t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: HOB t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: Activity t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Oral Cavity t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Position t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: SpO2 t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Therapeutic Bed t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [03:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Drain Out #1 Pericardial t0: [04:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 3 vu: ml
id: IV #1 Reason DC'D t0: [06:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [06:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Insert Date t0: [06:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [06:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [06:00:00 13/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4336697 hi: 8834 t0: [07:00:00 13/01/2019] tf: [06:00:00 14/01/2019] mn: Phytonadione pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Activity t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Arterial BP t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Position t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temperature C (calc) t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [06:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Off Guideline st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 13/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [04:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [05:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [06:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Drain Out #1 Pericardial t0: [06:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 3 vu: ml
id: IV Infusion In Total t0: [23:00:00 13/01/2019] el: 2 cg: RN cu: CCU cv: 720 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/01/2019] el: 2 cg: RN cu: CCU cv: 1010 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/01/2019] el: 2 cg: RN cu: CCU pv: 245 cv: 245 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/01/2019] el: 2 cg: RN cu: CCU pv: 240 cv: 2355 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/01/2019] el: 2 cg: RN cu: CCU pv: -245 cv: -1551 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/01/2019] el: 2 cg: RN cu: CCU pv: -245 cv: 4193 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 13/01/2019] el: 2 cg: RN cu: CCU pv: -245 cv: -245 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/01/2019] el: 2 cg: RN cu: CCU pv: 245 cv: 2561 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 13/01/2019] el: 2 cg: RN cu: CCU pv: 5 cv: 206 ac: 24 ap: none re: 0
id: IV #1 Reason DC'D t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: IV #1 D/C Date t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd
id: WBC (4-11,000) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: WBC t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: Hematocrit t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 31.1 n1: 31.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd id: RBC t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 rs: Final st: NotStopd
id: BUN t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 53 n1: 53 rs: Final st: NotStopd id: Calcium t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 53 n1: 53 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd
pi: 4336765 hi: 8834 t0: [09:00:00 13/01/2019] tf: [08:00:00 14/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4336766 hi: 8834 t0: [09:00:00 13/01/2019] tf: [08:00:00 14/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PT t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 19.2 n1: 19.2 rs: Final st: NotStopd id: INR t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PTT t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 33.2 n1: 33.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 19.2 n1: 19.2 rs: Final st: NotStopd id: PTT(22-35) t0: [05:47:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 33.2 n1: 33.2 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 13/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Absent st: NotStopd id: Ectopy Frequency t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 169 n1: 169 u1: mmHg v2: 101 n2: 101 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg st: NotStopd id: Position t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Therapeutic Bed t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 13/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 13/01/2019] el: 1 ai: 107 cg: RN cu: CCU vo: 80 vu: ml id: Drain Out #1 Pericardial t0: [08:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 9 vu: ml
id: INV Line#3 Type/Site t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
pi: 4336973 hi: 8834 t0: [10:00:00 13/01/2019] tf: [09:00:00 14/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4337218 hi: 8834 t0: [20:00:00 13/01/2019] tf: [10:00:00 14/01/2019] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 13/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: O2 Delivery Device t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 161 n1: 161 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: Pain Cause t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: calprevflg t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 13/01/2019] el: 1 ai: 107 cg: RN cu: CCU vu: ml st: Stopped id: Urine Out Foley t0: [12:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 250 vu: ml id: Drain Out #1 Pericardial t0: [12:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 52 vu: ml
id: Urine Out Foley t0: [10:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [11:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 670 vu: ml id: Drain Out #1 Pericardial t0: [09:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 5 vu: ml
id: GI Prophylaxis t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Topic #1 t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Stool Guaiac t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Urine Color/Appear t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: Activity t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: IV Site Appear #2 t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: O2 Delivery Device t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Assistance Device t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [14:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 260 vu: ml id: Drain Out #1 Pericardial t0: [14:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 8 vu: ml
id: Service Type t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Drain Out #1 Pericardial t0: [15:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 33 vu: ml
pi: 4337633 hi: 8834 t0: [20:00:00 13/01/2019] tf: [23:00:00 13/01/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Drain Out #1 Pericardial t0: [16:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 9 vu: ml
id: Pain Present t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 13/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Pain Cause t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Urine Color/Appear t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Education Barrier t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Learner t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Family Communication t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Restraint Location t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Significnt Other st: NotStopd id: Braden Activity t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: WBC (4-11,000) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 rs: Final st: NotStopd id: WBC t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 rs: Final st: NotStopd id: Hematocrit t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 31.8 n1: 31.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 11 n1: 11 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd id: RBC t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.38 n1: 3.38 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 rs: Final st: NotStopd
id: PT t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 18.2 n1: 18.2 rs: Final st: NotStopd id: INR t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 29.2 n1: 29.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 18.2 n1: 18.2 rs: Final st: NotStopd id: PTT(22-35) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 29.2 n1: 29.2 rs: Final st: NotStopd
id: BUN t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 rs: Final st: NotStopd id: Calcium t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 185 n1: 185 rs: Final st: NotStopd id: Potassium t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 185 n1: 185 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Urine Out Foley t0: [17:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Drain Out #1 Pericardial t0: [17:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 2 vu: ml
id: Service Type t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Abdominal Assessment t0: [16:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd
id: Service Type t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: ALT t0: [16:00:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 682 n1: 682 rs: Final st: NotStopd
pi: 4338248 hi: 8834 t0: [10:00:00 13/01/2019] tf: [01:00:00 14/01/2019] mn: Losartan Potassium pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Level of Conscious t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Arterial BP t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Foley t0: [21:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Drain Out #1 Pericardial t0: [20:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 13 vu: ml
id: Dorsal PedPulse R/L t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Anxiety st: NotStopd id: Education Handout t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Given st: NotStopd id: Education Learner t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: RLL Lung Sounds t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Side Rails t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Braden Activity t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
pi: 4338425 hi: 8834 t0: [22:00:00 13/01/2019] tf: [21:00:00 14/01/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Urine Color/Appear t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Drain Out #1 Pericardial t0: [22:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 5 vu: ml
pi: 4338687 hi: 8834 t0: [08:00:00 14/01/2019] tf: [12:00:00 14/01/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: FiO2 Set t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: HOB t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: O2 Delivery Device t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Assistance Device t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Temp. Site t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [22:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Drain Out #1 Pericardial t0: [23:00:00 13/01/2019] el: 1 cg: RN cu: CCU vo: 5 vu: ml
id: Urine Out Foley t0: [00:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Service Type t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 13/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Precautions t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Drain Out #1 Pericardial t0: [00:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 4 vu: ml
id: Urine Out Foley t0: [01:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Magnesium t0: [23:10:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium t0: [23:10:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [23:10:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:10:00 13/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
pi: 4338773 hi: 8834 t0: [02:00:00 14/01/2019] tf: [01:00:00 15/01/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4338821 hi: 8834 t0: [10:00:00 14/01/2019] tf: [09:00:00 15/01/2019] mn: Losartan Potassium pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: FiO2 Set t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: HOB t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: Activity t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Level of Conscious t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Cavity t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Significnt Other st: NotStopd id: Therapeutic Bed t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [01:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd
id: Urine Out Foley t0: [02:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 210 vu: ml id: Drain Out #1 Pericardial t0: [01:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 3 vu: ml id: Drain Out #1 Pericardial t0: [02:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 3 vu: ml
id: Service Type t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [03:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Drain Out #1 Pericardial t0: [03:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 4 vu: ml
id: Service Type t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [04:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [04:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [05:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [06:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Diet Type t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: FiO2 Set t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Level of Conscious t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Respiratory Pattern t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: Riker-SAS Scale t0: [00:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [03:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Education Topic #1 t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: INV Line#3 Type/Site t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3InsertDate t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #2 Insert Date t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Side Rails t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Significnt Other st: NotStopd
id: WBC (4-11,000) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: WBC t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Hematocrit t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 31.5 n1: 31.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 124 n1: 124 rs: Final st: NotStopd id: RBC t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.37 n1: 3.37 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd
id: BUN t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Calcium t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 14/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: O2 Delivery Device t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 106 n2: 106 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [08:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Service Type t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: PT t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 15.3 n1: 15.3 rs: Final st: NotStopd id: INR t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 15.3 n1: 15.3 rs: Final st: NotStopd
id: PTT t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 26.7 n1: 26.7 rs: Final st: NotStopd id: PTT(22-35) t0: [05:44:00 14/01/2019] el: 0 cg: 1663 cu: CCU v1: 26.7 n1: 26.7 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Alarms t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Po Intake t0: [08:00:00 14/01/2019] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [10:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Drain Out #1 Pericardial t0: [08:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 1 vu: ml id: Drain Out #1 Pericardial t0: [10:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Pain Present t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [11:00:00 14/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Arterial BP t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 105 n2: 105 u2: mmHg st: NotStopd id: Pain Location t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4339841 hi: 8834 t0: [20:00:00 14/01/2019] tf: [11:00:00 16/01/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Urine Out Foley t0: [12:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 130 vu: ml id: Drain Out #1 Pericardial t0: [12:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 13 vu: ml
id: Service Type t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg v2: 104 n2: 104 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd
id: Alarms t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Urine Out Foley t0: [14:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: Drain Out #1 Pericardial t0: [14:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Pulses Paradoxus t0: [11:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd
id: Pulses Paradoxus t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd
id: Service Type t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 167 n1: 167 u1: mmHg v2: 106 n2: 106 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pulses Paradoxus t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd
id: Service Type t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 102 n2: 102 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [17:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CT scan st: NotStopd id: Respiratory Rate t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 98 n2: 98 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [16:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [18:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Drain Out #1 Pericardial t0: [16:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Drain Out #1 Pericardial t0: [18:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 5 vu: ml
id: SpO2 t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd
id: Pain Present t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [14:00:00 14/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: O2 Delivery Device t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [17:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Pain Location t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [14:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Po Intake t0: [12:00:00 14/01/2019] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml id: Po Intake t0: [18:00:00 14/01/2019] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml
id: Diet Type t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Diet Type t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Diet Type t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GCS Total t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GCS Total t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: LLL Lung Sounds t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LLL Lung Sounds t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LLL Lung Sounds t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Orientation t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Orientation t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RLL Lung Sounds t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RLL Lung Sounds t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Verbal Response t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Verbal Response t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd
id: Education Barrier t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Restraint Location t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Significnt Other st: NotStopd id: Braden Activity t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Education Topic #1 t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Family Communication t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Family Communication t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Restraint Location t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Braden Activity t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Frict/Shear t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Moisture t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Nutrition t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden Score t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: HOB t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: HOB Measurement t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: Back Care t0: [09:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [12:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: INV Line#3 Type/Site t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [08:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: INV Line#3 Type/Site t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [10:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: INV Line#3 Type/Site t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
pi: 4341518 hi: 8834 t0: [20:00:00 14/01/2019] tf: [11:00:00 16/01/2019] mn: Heparin Flush Port (10units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: NBP t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pulses Paradoxus t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Respiratory Rate t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 14/01/2019] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [20:00:00 14/01/2019] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [20:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 220 vu: ml id: Drain Out #1 Pericardial t0: [20:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 8 vu: ml
id: 24h Total In t0: [23:00:00 14/01/2019] el: 2 cg: RN cu: CCU cv: 520 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 14/01/2019] el: 2 cg: RN cu: CCU cv: 520 ac: 24 ap: none re: 0
id: FiO2 Set t0: [21:00:00 14/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Delivery Device#2 t0: [21:00:00 14/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd id: O2 Flow (lpm) #2 t0: [21:00:00 14/01/2019] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Level of Conscious t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Arterial BP t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [21:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Drain Out #1 Pericardial t0: [21:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 16 vu: ml
id: Pain Present t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: Heart Rate t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #3 Insert Date t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: Activity t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Independent st: NotStopd id: Precautions t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Drain Out #1 Pericardial t0: [23:00:00 14/01/2019] el: 1 cg: RN cu: CCU vo: 8 vu: ml
id: Total Hourly Output t0: [23:00:00 14/01/2019] el: 2 cg: RN cu: CCU pv: 108 cv: 108 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/01/2019] el: 2 cg: RN cu: CCU pv: 100 cv: 2355 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/01/2019] el: 2 cg: RN cu: CCU pv: -108 cv: -2150 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 14/01/2019] el: 2 cg: RN cu: CCU pv: -108 cv: 2043 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 14/01/2019] el: 2 cg: RN cu: CCU pv: -108 cv: -108 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/01/2019] el: 2 cg: RN cu: CCU pv: 108 cv: 2670 ac: 24 ap: none re: 0 id: Drain #1 Total Out t0: [23:00:00 14/01/2019] el: 2 cg: RN cu: CCU pv: 8 cv: 315 ac: 24 ap: none re: 0
id: Pain Present t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [23:00:00 14/01/2019] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
pi: 4342385 hi: 8834 t0: [02:00:00 15/01/2019] tf: [11:00:00 16/01/2019] mn: Bisacodyl pt: Unit Dose st: Discontinued rt: PO fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4342386 hi: 8834 t0: [02:00:00 15/01/2019] tf: [11:00:00 16/01/2019] mn: Bisacodyl pt: Unit Dose st: Discontinued rt: PR fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: Activity t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Commode st: NotStopd id: IV Site Appear #2 t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Arterial BP t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Temp. Site t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Drain Out #1 Pericardial t0: [01:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 102 vu: ml
id: Service Type t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#3 Zero/Cal t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#3InsertDate t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 17 n2: 17 st: NotStopd id: INV Line#3SiteAppear t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 WaveformAppear t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 15 n2: 15 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 22 gauge st: NotStopd id: IV #3 Insert Date t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 18 n2: 18 st: NotStopd id: IV #3 Site/Size t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 22 gauge st: NotStopd id: IV Site Appear #2 t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Arterial BP t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 125 n2: 125 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 15/01/2019] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [03:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Drain Out #1 Pericardial t0: [03:00:00 15/01/2019] el: 1 cg: RN cu: CCU vo: 12 vu: ml
id: Stool Out Stool t0: [02:00:00 15/01/2019] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: Stool Out Total t0: [23:00:00 15/01/2019] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0